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Community Reintegration Service Program

To help with hospitalized patients’ early reintegration into society, social worker’s counseling and social evaluation is conducted on all hospitalized patients to offer a specialized community reintegration program that is in line with the patient’s demand and characteristics.

The Department offers the adjustment program, which is aimed at providing emotional support to patients and strengthening motivation towards community reintegration, and the customized support program, which consists of social experience and career path support. In addition, the Department provides education to patients in period of convalescence and their guardians, in-hospital collaboration programs with other departments, and other such intensive programs. Also offered are programs that prepare patients to leave the hospital, including home life (smart home) experience, residential environment assessment, and link to community local resources.

The Department carries out diverse research activities and publishes materials to develop such hospital-based community reintegration service program models and to supply them to other local hospitals.

  1. Hospitalization
  2. Initial counseling

  3. Specialization

    • Adjustment programs

      Strengthen the motivation to reintegrate into community
      (horticulture activities, music activities, digital literacy education, etc.)

    • Support programs

      Individually customized support
      (Social experience, mentoring, health service support, etc.)

    • Intensive programs

      Intensive support for patients in period of convalescence
      (Education to prepare for community reintegration, family education, public transportation experience, etc.)

    • Programs for discharge preparations

      Support for patients planned for community reintegration
      (home life experience space ‘SMART HOME’, residential environment assessment, link to local resources)

  4. Discharge
  5. Follow-up support
    Comprehensive post-discharge management, including assessment of daily life adaptation and linkage with local service organizations.

Community Reintegration Service Program

  • 1. Counseling and social evaluation to all hospitalized patients

  • 2. Provision of community reintegration service program

  • 3. Family and community reintegration

Adjustment program for community reintegration

Conduct counseling and evaluation for all hospitalized patients, thus engaging in community program counseling to promote community reintegration, including assessing demands and giving motivation

Motivate patients to reintegrate into the community and provide diverse programs for horticulture activities, music activities, digital literacy education, in consideration of patient characteristics.

Community reintegration service program (intensive program for preparing community reintegration)

Provide customized programs that are needed for community reintegration by a patient who is preparing for community reintegration after discharge, such as mentoring, social experience, career path support, return to occupation, and family support

Program for preparations to leave the hospital

Enhance a patient’s confidence in reintegrating into the community by providing programs for discharge preparations such as the ‘SMART HOME’ experience, which enables a patient to experience home life before leaving the hospital, residential environment assessment, and link to local resources

Various community reintegration service programs

  • Adjustment programs1
    Adjustment programs
  • Adjustment programs2
    Adjustment programs
  • Support programs1
    Support programs
  • Support program2
    Support programs
  • Intensive programs1
    Intensive programs
  • Intensive programs2
    Intensive programs
  • Programs for discharge preparation1
    Programs for discharge preparation
  • Programs for discharge preparation2
    Programs for discharge preparation
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